Individual
NICOLE CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3707 E SOUTHERN AVE STE 2088, MESA, AZ 85206-6220
(480) 509-7738
(480) 856-9069
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704277591
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10250
AZ
Other
Enumeration date
07/31/2013
Last updated
06/19/2023
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